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Suggest Treatment For Esophagitis And Gastritis
Question: i have esophagitis and gastritis. My esaphogus is inflammed and have some inflammation of the stomach. I started 40mg omeprazole 2 weeks ago as well as 300mg ranitidine. i was taking 20mg since july until this time. I still dont feel it is helping. How long does it take? biopsy was fine except for the inflammation. Thank you
Brief Answer:
Too early to bother, antiacid, lifestyle modificat
Detailed Answer:
Hi and thanks for the query,
The response to treatment would depend on a few factors. It might too early however to think the treatment is not effective. Depending on the degree of lesions seen, you might have to take such treatment with proton pump inhibitors, like Omeprazole, for up to six weeks.
It is imperative not to underrate the non medication components of care, especially with regards to gastroesophagal reflux disease here. If neglected, the drugs on their own might not be very helpful. Your diet, not staying for a long time without eating, eating at regular hours, elevating the head side of the bed by about 5cm and avoiding foods like Caffeine and Coca cola. Avoiding spicy foods and alcohol are also important.
It is of interest to know if you also take drugs that irritate the stomach like Non steroidal anti inflammatory drugs and steroids.
It is very interesting the biopsy was ok. I do not think you need to be that bothered at this point in time since its too early to talk of treatment failure. Take treatment again for a couple of weeks. Associating an antiacid like MAALOX can be considered at some point. Life style changes as I propose, and not being the stressed could be helpful. You might have to see your doctor if after a couple of weeks and with good life hygiene, the symptoms persist for reevaluation and rethinking of the diagnosis. If not, for now, I think you are ok and need not bother.
Kind regards,
Dr Bain
Too early to bother, antiacid, lifestyle modificat
Detailed Answer:
Hi and thanks for the query,
The response to treatment would depend on a few factors. It might too early however to think the treatment is not effective. Depending on the degree of lesions seen, you might have to take such treatment with proton pump inhibitors, like Omeprazole, for up to six weeks.
It is imperative not to underrate the non medication components of care, especially with regards to gastroesophagal reflux disease here. If neglected, the drugs on their own might not be very helpful. Your diet, not staying for a long time without eating, eating at regular hours, elevating the head side of the bed by about 5cm and avoiding foods like Caffeine and Coca cola. Avoiding spicy foods and alcohol are also important.
It is of interest to know if you also take drugs that irritate the stomach like Non steroidal anti inflammatory drugs and steroids.
It is very interesting the biopsy was ok. I do not think you need to be that bothered at this point in time since its too early to talk of treatment failure. Take treatment again for a couple of weeks. Associating an antiacid like MAALOX can be considered at some point. Life style changes as I propose, and not being the stressed could be helpful. You might have to see your doctor if after a couple of weeks and with good life hygiene, the symptoms persist for reevaluation and rethinking of the diagnosis. If not, for now, I think you are ok and need not bother.
Kind regards,
Dr Bain
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for answering. I had the edg done with biopsy like I said and the tissue showed inflammation, nothing else. I do not take anti inflamatory pills even though i wish i could because of disc degneration in my back and pain. i think it developed from vomiting. I get pains in my right chest especially around breastbone as well as the right side of my back. I get nauseous from time to time. and sometimes I feel like i have a little lump in my throat. Do you really have to be on a strict diet? or just the acidy foods and carbonate drinks. I get frustrated with this and i am sure the stress doesnt help. I am taking it that this is treatable and curable. Right? The dosage that I am on, is that about right? Thanks in advance
Brief Answer:
Not strict diet per say, dosage OK
Detailed Answer:
Hi and thanks for the update,
I think the dosage of Omeprazole you are on is ok (40mg) for now. As you get better hopefully, the dosage might have to be reduced carefully to 20mg for the rest of the treatment course.
It is not really about a strict diet per say. You need of course just avoid gas producing foods like Cola, Caffeine and spicy foods and pepper that could irritate your stomach wall. Chocolates weaken at times the lower esophagal sphincter and could aggravate reflux and esophagitis.
You really need not think so much or get depressed. I am convinced with a sense of positive thought, being compliant to diet modifications and your medication, you will get better.
No worries for now as I wish you the best of health.
Kind regards,
Dr Bain
Not strict diet per say, dosage OK
Detailed Answer:
Hi and thanks for the update,
I think the dosage of Omeprazole you are on is ok (40mg) for now. As you get better hopefully, the dosage might have to be reduced carefully to 20mg for the rest of the treatment course.
It is not really about a strict diet per say. You need of course just avoid gas producing foods like Cola, Caffeine and spicy foods and pepper that could irritate your stomach wall. Chocolates weaken at times the lower esophagal sphincter and could aggravate reflux and esophagitis.
You really need not think so much or get depressed. I am convinced with a sense of positive thought, being compliant to diet modifications and your medication, you will get better.
No worries for now as I wish you the best of health.
Kind regards,
Dr Bain
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks again. The pain I am experiencing in my right. chest and back-- is that from the inflammation? I don't seem to be getting any heartburn just the pain which really bothers me. Is there any reason I get nauseous from time to time? thanks!!
Brief Answer:
It is possible to get nauseous, no worries for now
Detailed Answer:
Hi and thanks for the query,
It is possible this could arise from the inflammation. It might be interesting to note that the signs and symptoms of gastric/esophagal inflammation might differ from person to person. It is interesting in your case since the diagnosis was already made with specific tests.
Not having heart burn does not on its own rule out the fact that you could have this conditions. Being nauseous is a commonly found associated feeling in esophagitis and peptic ulcer disease. It is interesting however to investigate the causes of chest pain in case after a proper follow up, symptoms do persist. However, its too early to think in that direction for now.
Thanks and kind regards,
Dr Bain
It is possible to get nauseous, no worries for now
Detailed Answer:
Hi and thanks for the query,
It is possible this could arise from the inflammation. It might be interesting to note that the signs and symptoms of gastric/esophagal inflammation might differ from person to person. It is interesting in your case since the diagnosis was already made with specific tests.
Not having heart burn does not on its own rule out the fact that you could have this conditions. Being nauseous is a commonly found associated feeling in esophagitis and peptic ulcer disease. It is interesting however to investigate the causes of chest pain in case after a proper follow up, symptoms do persist. However, its too early to think in that direction for now.
Thanks and kind regards,
Dr Bain
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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